Novel way has been discovered to improve a common treatment for post-traumatic stress disorder (PTSD) by altering how the brain learns to respond less severely to fearful conditions, reports a new study. The findings of the study are published in the Journal of Neuroscience.
The study by researchers at The University of Texas at Austin Dell Medical School suggests a potential improvement to exposure therapy - the current gold standard for PTSD treatment and anxiety reduction - which helps people gradually approach their trauma-related memories and feelings by confronting those memories in a safe setting, away from an actual threat.
In a study of 46 healthy adults, researchers compared participants' emotional reactions to replacing an unpleasant electric shock on the wrist with a surprise neutral tone, instead of simply turning off the shocks. Omitting the feared shocks is the current norm in exposure therapy. The participants' brain activity was measured by functional magnetic resonance imaging (fMRI). Their emotional reactions were measured by how much they were sweating from their hands.
"This simple treatment of replacing an expected threat with an innocuous sound resulted in a long-lasting memory of safety, which suggests that the brain may be able to better control its fear response by means of a pretty straightforward, nonpharmaceutical intervention," says lead study author Joseph Dunsmoor, Ph.D., an assistant professor in the Department of Psychiatry at Dell Medical School.
In the study, Dunsmoor's team randomly divided participants into two groups - those who had the shock turned off and those who had the shock replaced by a neutral tone. Both groups were exposed to a picture of a face paired with an electric shock on the wrist on day one of the study. The groups were then exposed to the pictures with the shock turned off, or with the shock replaced by the surprising tone. Both groups returned the next day to measure brain activity and emotional reactions to the fear-conditioned pictures.
The researchers measured participants' brain activity to the fear-conditioned pictures using fMRI scans. They also measured participants' emotional responses to the threat of receiving an electric shock based on the amount of sweat recorded from a hand.
"It is well known that the brain learns by surprise," says Dunsmoor. "Our study suggests that replacing expected aversive events with neutral and unexpected events, even a simple tone, is one way to capture attention so that the brain can learn to regulate fear more effectively."